首页|以自我管理为导向的5A护理模式结合体验式饮食教育对老年糖尿病肾病患者自我护理行为及康复情况的影响

以自我管理为导向的5A护理模式结合体验式饮食教育对老年糖尿病肾病患者自我护理行为及康复情况的影响

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目的 探讨以自我管理为导向的5A护理模式结合体验式饮食教育在老年糖尿病肾病患者中的应用效果.方法 选取2021 年4 月至2022 年4月收治的 100 例老年糖尿病肾病患者,随机将其分为对照组和观察组,每组50例.对照组实施常规护理,观察组实施以自我管理为导向的 5A护理模式结合体验式饮食教育.比较两组的干预效果.结果 干预后,观察组的糖尿病自我管理行为量表(SDSCA)各维度评分高于对照组(P<0.05).干预后,观察组的空腹血糖(FBG)、糖化血红蛋白(HbA1c)、血尿素氮(BUN)、血尿酸(UA)水平低于对照组(P<0.05).干预后,观察组的生活质量综合评定问卷(GQOLI-74)各维度评分高于对照组(P<0.05).结论 以自我管理为导向的 5A护理模式结合体验式饮食教育可改善老年糖尿病肾病患者自我护理行为,提高康复效果及生活质量,值得推广.
Influences of self-management-oriented 5A nursing model combined with experiential dietary education on self-care behavior and rehabilitation of elderly patients with diabetic kidney disease
Objective To explore the application effect of self-management-oriented 5A nursing model combined with experiential dietary education in elderly patients with diabetic kidney disease.Methods A total of 100 elderly patients with diabetic kidney disease admitted from April 2021 to April 2022 were selected and randomly divided into control group and observation group,with 50 cases in each group.The control group received routine nursing,and the observation group received self-management-oriented 5A nursing model combined with experiential dietary education.The intervention effects of the two groups were compared.Results After intervention,the scores of each dimension of Summary of Diabetes Self-Care Activities(SDSCA)in the observation group were higher than those in the control group(P<0.05).After intervention,the levels of fasting blood glucose(FBG),glycosylated hemoglobin(HbA1c),blood urea nitrogen(BUN)and uric acid(UA)in the observation group were lower than those in the control group(P<0.05).After intervention,the scores of each dimension of Generic Quality of Life Inventory-74(GQOLI-74)in the observation group were higher than those in the control group(P<0.05).Conclusion The self-management-oriented 5A nursing model combined with experiential dietary education can improve the self-care behavior of elderly patients with diabetic kidney disease,and improve the rehabilitation effect and quality of life,which is worth promoting.

self-management5A nursingexperiential dietary educationdiabetic kidney disease

胡姣姣、方媛、雷烨、卢媛

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西安医学院第二附属医院肾脏内分泌科,陕西 西安,710038

陕西中医药大学第二附属医院肾脏内分泌科,陕西 咸阳,712021

咸阳市中心医院肾病内科,陕西 咸阳,712000

自我管理 5A护理 体验式饮食教育 糖尿病肾病

陕西中医药大学第二附属医院学科创新团队项目(2020)

2020XKTD-C01

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(15)
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